I’ve seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl – Duragesic), inappropriate time intervals for changing (lidocaine – Lidoderm), as needed use (fentanyl), and lost patches (both), there are plenty of easy mistakes and misconceptions about these two pain patches that I’ve seen folks from […]

Pain management is often very challenging. Patients differ from one another. One medication may totally take away the pain for one patient, while that same medication might not even touch the next patient’s pain. The type of pain is obviously an important factor as well, but one problem that I frequently come across, especially in the […]

Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here’s a case that highlights a few challenges: 88 year old male with a history of atrial fibrillation, GERD, Hypertension, Seizures, CKD, and Constipation. Current […]

87 year old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders gabapentin 300 mg three times daily to help with the new onset neuropathy. The symptoms of neuropathy do begin […]

68 y/o male was undergoing chemotherapy treatments and as you may know, neuropathy can be a common side effect of certain chemo medications. This gentleman was battling through constant neuropathy type pain and was intiated on Gabapentin 300 mg twice daily. In this case of chemotherapy induced neuropathy, this dose was tolerated without issue and chemotherapy […]

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To whom much is given, much is expected. I’ve had a lot of really kind people help me along the way, and I wanted a way for myself and others to give back some of the things we’ve learned about medication management and healthcare. Good information from the front lines of healthcare is really hard to find, and that is what I try to provide day after day.